Emergency Ultrasound Workshop

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Online Registration Form

Full Name:
Email Address:

Hospital:
Field of Practice / Specialty:

Postal Address (Street)
Postal Address (Suburb)
Postal Address (Post Code)

Contact Phone Number (home):
Contact Phone Number: (work):
Mobile Number (optional)

Fax Number (home):
Fax Number (work):

Intended date of course participation

I have posted my course registration fee to Dr Tony Joseph.

I have read the Trauma Ultrasound Workshop Course Privacy Policy (see sidebar on right of this page) and hereby give permission for my personal details to be kept on file and used in the manner described.


Press this button to submit your registration-->

Registration Instructions

To register, simply fill in the details below and press the submit button.

Your registration details will be forwarded to Dr. Tony Joseph, who will reply to you with a confirmation message

Your confirmation message, and all future email correspondence, will be sent to the email address which you provide as part of the regisration process.

Payment for the course is done separately via cheque through postal mail.

Please make your cheque payable to "RNSH Ultrasound Workshop"

Cheques should be posted to:
Dr Tony Joseph
Emergency Department
Royal North Shore Hospital
St Leonards
NSW, 2065.

Credit Cards are not accepted

Class size is limited. Early registration is encouraged.

Workshop Fee

Fee:
$700 (one-day course)

Includes:
Workshop Participation
Handbook
Morning and Afternoon Tea

Our Privacy Policy

The Trauma Ultrasound Workshop administration is commited to ensuring the privacy of information submitted to this site.

In particular, we are careful to remain in full compliance with privacy legislation enacted in the Privacy Amendment (Private Sector) Act 2000, based on the National Privacy Principles. Read more about this legislation.

The information on this form is being collected to enable us to register your intention to participate in the Trauma Ultrasound Workshop course, and to communicate with you during and after the course.

It is our policy not to share this information with any third parties, or to use this information for any other purpose, without your express and prior knowledge and permission.

The trustee of records is Dr. Tony Joseph. You may access a copy of your record, or amend information on your record, via email request to Dr. Tony Joseph.

If you have any questions regarding our information handling policies and procedures again you may address these to Dr. Tony Joseph